Billing Manager

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

Position Title: Billing Manager

Position Summary: The Billing Manager provides strategic and operational leadership for the organization’s billing and revenue cycle functions, with accountability for maximizing revenue integrity, optimizing cash flow, strengthening financial controls, and ensuring regulatory and payer compliance. This role oversees end-to-end billing operations, including charge capture, claims management, payment posting, reconciliation, denials and claim holds, and revenue cycle performance. The Billing Manager leads a high-performing billing team, establishes operational standards and controls, and uses data, technology, and automation to drive efficiency and financial performance.

The position serves as a key business partner to Finance, Operations, Credentialing, IT, and clinical leadership and is responsible for advancing revenue cycle capabilities through process optimization, system enhancements, automation, and continuous improvement.

• Direct and oversee all billing department activities, including charge entry, claim submission, payment posting, and account reconciliation.
• Supervise and support billing staff to ensure productivity, accuracy, and accountability.
• Ensure all charges are entered accurately and submitted within established timelines.
• Monitor claim status and proactively address claim holds, denials, and rejections.
• Develop and maintain standard operating procedures for billing workflows.
• Ensure compliance with payer requirements, contractual obligations, and regulatory standards.

• Provide oversight of charge capture processes to ensure complete, accurate, and timely billing for services rendered.
• Establish controls to reconcile services rendered, charges entered, and claims submitted.
• Direct investigation and resolution of charge discrepancies and workflow breakdowns.
• Implement routine audits and quality assurance measures to maintain billing accuracy.

• Oversee payment posting processes for insurance and patient payments.
• Ensure accurate allocation of payments, adjustments, and write-offs.
• Reconcile posted payments to bank deposits and financial records.
• Investigate and resolve payment variances, discrepancies, and unapplied funds.
• Maintain documented controls for reconciliation processes.

• Monitor billing submissions and ensure claims are submitted within three (3) business days of service completion.
• Audit claims held within the billing system and ensure no claims exceed payer timely filing limits.
• Identify the root causes of held claims and implement corrective actions.
• Monitor clearinghouse and payer responses to ensure timely resolution of claim issues.

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